1985, 04-29 Sewage Disposal Review 0
Spokane County
5
(lcpartmcnt of building & safety
•
>"irr - }' JAMES L. MANSON. DIRECTOR
ON-SITE SEWAGE DISPOSAL SYSTEM INFORMATIONAL REVIEW FORM
For Single Family Residences
TO : Spokane County Environmental ii :, ltr Division
, ROM . Spokane County Department of ;:u i l d i ng •. n( Safety
DATE : AP2t.. Za , 19 :; &-'
RE On Site Sewage Disposal System
REF : Describe Proposal : S.PT,c. 7TQ-SL - --
Property Owner tVPS—C14pru
Road Name ��2..>>�.� ►ZQpo
Parcel Number • 211 004-
Street Address • N, 8ca-N *n-- io•
Legal Description : NWhi4 Oyu wLV OI' ?5C sLLL P
N(Yr E: • ‘Loc r\C i7Ec2 Vtn iT lS 1,-)0-1 TSG Q(tlRS.�7 Ok
SIGNED : 0% isx�s F-1- ---r 79—Pc �5
Date :
Proposed Owner or Authorized Representative
1 . An initial review of the above - referenced property has been
conducted by the Spokane County Planning Department and the
following items are noted . An in -depth review of the property will
again be made at the time a building permit is applied for .
Requirements reviewed for property as of the date set forth
hereinabove .
Yes / No/N . A
/VA- Dedicatory Language within Plat
�t=, Subject Property is Legally Divided
1.1_f7-1(7 - Certificate of Exemption Required
"�f J Use Authorized Under Zon i n, Ori: i nance
Setbacks Met in Zoning Ordinance
Nil Shorelines Permit Required
Variance Required for Following Purposes :
Other :
Planningft.
Department : — / _ AL1 Date : Z//' ,
�- ------------- - ---- — ----— ---- —�
. ,., .,, , • tinn1 ANO 1%'Asf!I':r:iWs; uo_f.n.Hi`,ti - MI PH(itiFi°,(w14565675
0
On - Site `)ewaue `jy Stem Review Form
Page ? of 7
L . An initial review of the subject property has been conducted by
the Spokane County Engineer ' s Office and the following items are
noted . An in -depth final review of the property will again be made
at the time the building permit is applied for .
SPECIAL REQUIREMENTS :
Naini. tined County Riad Frontaoe
A... i- Permit! eq , i red
1 Lone
Variaw. 0 Requirements
Other :
Engineer ' s Office : Date :
3 . The Spokane County Department of Building and Safety has advised
the property owner/ representative that at such time a structure or
building is to be placed/constructed on the property , a building
permit will be required .
Building and Safety Department :3t/ I . Date :_ .,
NOTE : The review by the various departments as provided for herein
is solely for the purpose of advising the Spokane County Health
District of the subject property ' s compliance with various codes and
regulations . The issuance of a permit by the Spokane County Health
District for the installation of an on-site sewage disposal system is
not to be considered as a vesting of a right by the owner/ rep-
resentative to obtain a building permit for the property . At the
time that a building permit is applied for , the subject property must
comply with all applicable federal , state or local laws , ordinances
or regulations with the exception of those relating to the issuance
of a permit for the septic tank /drain field on- site sewage disposal
system by the Spokane County Health District , pursuant to this form .
Accordingly , although as of the date of this document the subject
property may meet certain federal , state or local laws , ordinances or
reculations , in the event such items change between the date of this
document and the application for a building permit , the ow- ,
ner/ representative will be responsible for meeting such regulations
on the date of the application for the huilriin :: permit .